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目的探讨羊水过少对分娩方式及围生儿的影响,指导临床选择合理分娩方式。方法收集我院2010年1月～2012年12月羊水过少的产妇80例,同时收集同期羊水正常的产妇80例进行对照。结果两组分娩方式情况:羊水过少组剖宫产66例,顺产14例,对照组剖宫产32例,顺产48例。两组产妇采取剖宫产分娩方式中产中出血、肛门排气时间、住院时间、产后并发症分娩比较无显著性差异(P>0.05),两组顺产中产中出血、肛门排气时间、住院时间、产后并发症分娩比较无显著性差异(P>0.05),羊水过少组羊水污染≥2度、新生儿窒息、胎儿窘迫、新生儿缺氧、病死率明显高于对照组,两组比较有显著性差异(P<0.05),羊水过少组剖宫产方式与顺产方式比较无显著性差异(P>0.05)。结论分娩方式分娩结局并无明显影响,羊水过少是选择分娩方式的重要指标。
Objective To investigate the effect of oligohydramnios on the mode of delivery and perinatal children and to guide the rational choice of mode of delivery in clinical practice. Methods 80 cases of oligohydramnios in our hospital from January 2010 to December 2012 were collected and 80 cases of normal mothers with amniotic fluid during the same period were collected. Results There were 66 cases of cesarean section, 14 cases of cesarean section in the oligohydramnios group, 32 cases of cesarean section in control group and 48 cases of cesarean section. The two groups of maternal take cesarean section mode of delivery in the middle of bleeding, anal exhaust time, hospital stay, complications of postpartum delivery was no significant difference (P> 0.05), two groups of midwifery bleeding, anal exhaust time, hospital stay (P> 0.05), amniotic fluid contamination in oligohydramnios group≥2 degree, neonatal asphyxia, fetal distress, neonatal hypoxia, mortality was significantly higher than the control group, the two groups were compared Significant difference (P <0.05), oligohydramnios cesarean section compared with the way of delivery no significant difference (P> 0.05). Conclusion The mode of delivery has no obvious effect on the outcome of delivery, oligohydramnios is an important indicator of choice of mode of delivery.